Atelectasis

Newborn. Premature. Atelectasis in apex and lower lobe of left lung. Improvement after #Physiotherapy, placed in tredelenburg position + vibration + right lateral recumbency.

Similar cases

Frontal radiograph of the chest in a child with dyspnea born at 42 weeks of gestational age and with meconium-stained amniotic fluid shows streaky opacities radiating centrally within the lungs and a small left apical pneumothorax (arrow). Meconium aspiration is a cause of respiratory distress in a newborn. Meconium aspiration can result in airway obstruction leading to areas of both hyperinflation and atelectasis. Immediate complications of meconium aspiration include pneumothorax and pneumomediastinum. Subacute and long-term complications including infection and pulmonary hypertension. #ThoraxThursday #ThoracicThursday

Patient had increasing respiratory distress and required high flow nasal cannula. Due to murmur on exam echocardiogram was obtained and showed a pfo with small left to right shunt. Throughout abx course oxygen therapy was weaned steadily to 0.5L and work of breathing improved but tachypnea remained. Pt never became febrile. Speech evaluation showed patient was safe on thin liquids and he PO fed well. Attempts to wean to room air caused desaturations to mid 80s quickly. Repeat CXR read as right sided pneumonia. Diagnosis/further workup?

Newborn. Premature. #Atelectasis

Frontal radiograph of the chest in a 2-month-old infant who was born prematurely shows hyperinflated lungs with coarsened opacities of both lungs and right upper lobe atelectasis. The coarsened opacities are typical of bronchopulmonary dysplasia otherwise known as chronic lung disease of prematurity. Risk factors include extreme prematurity, low birth weight, mechanical ventilation, and higher percentages of inspired oxygen.